Individual
BARRON E RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 PROSPECT AVE, STE 201D, KIRKWOOD, MO 63122-6052
(614) 425-2604
Mailing address
13439 FORESTLAC DR, SAINT LOUIS, MO 63141-6005
(614) 425-2604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017034815
MO
Other
Enumeration date
08/05/2019
Last updated
09/04/2019
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